Individual
TRA BRENDON STATLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
7315 E FRONTAGE RD STE 120, MERRIAM, KS 66204-1658
(913) 676-2444
Mailing address
1660 GENESSEE ST UNIT 204, KANSAS CITY, MO 64102-1078
(573) 579-1430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025017758
MO
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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